Why Heart Disease Happens Even When You’re 'Doing Everything Right' | Dr Thomas Dayspring, Md and Dr Dan Soffer, Md

The Proof with Simon Hill

Simon Hill

Nutrition, Health & Fitness, Self-improvement, Education

4.9 • 2.9K Ratings

🗓️ 21 July 2025

⏱️ 64 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

This episode is the uncut conversation with Dr. Thomas Dayspring and Dr. Dan Soffer, unpacking the results of my coronary CT angiogram and CACS score. We explore what these scans reveal about cardiovascular risk, why good bloodwork isn’t always enough, and how to use tools like ApoB, Lp(a), and imaging to get a clearer picture of heart health. We also discuss statins, lifestyle changes, and the value of early prevention. Topics we cover: My coronary scan results explained What drives plaque and cardiovascular risk Advanced lipid testing (ApoB, Lp(a), LDL) Medication vs lifestyle: when and why Misconceptions about “normal” bloodwork What to do if your CAC score isn’t zero For anyone serious about long-term heart health, this is a must-listen. Want to support the show? The best way to support the show is to use the products and services offered by our sponsors. To check them out and enjoy great savings, visit theproof.com/friends. You can also support the show by leaving a review on the Apple Podcast app and sharing your favourite episodes with friends and family. This episode is brought to you by: 38TERA Consider 38TERA's DMN prebiotic supplement a daily multivitamin for your gut. Formulated by yours truly and gastroenterologist Dr Will Bulsiewicz. Use code THEPROOF for a discount at checkout. Bragg Bragg Organic Apple Cider Vinegar is raw, unfiltered, and naturally fermented with 100% organic apples, always with the live “Mother” in every bottle. Get 20% off your first order at bragg.com with promo code SIMON. IM8 With 92 nutrients, including Vitamin B12, Iodine, Selenium and Vitamin D, in highly absorbable forms, IM8 Daily Essentials is the perfect all-in-one daily multi-vitamin to ensure you meet your daily micronutrient needs. IM8 is offering an exclusive 10% off your first order with a free welcome kit when you enter the promo code SIMON at checkout on im8health.com Momentous My go-to supplement brand for protein and creatine is Momentous. Get 20% off your first purchase by using the code LIVINGPROOF at checkout at livemomentous.com Function Health Take charge of your health with advanced blood testing and personalised insights. Function Health provides a practical solution to track key health markers such as cholesterol, blood sugar, and more. For the first 1,000 listeners, new members get a $100 credit when signing up. Head to functionhealth.com/simonhill to claim your credit. Only available to those living in the United States. WHOOP Whoop, the most advanced fitness and health wearable available. Your personalised fitness and health coach to recover faster, sleep better, and train smarter. Claim your first month free on join.whoop.com/simon. Simon Hill, MSc, BSc (Hons) Creator of theproof.com Host of The Proof with Simon Hill Author of The Proof is in the Plants Subscribe & Connect: YouTube Apple Podcasts Spotify Instagram: @simonhill Twitter: @theproof Facebook: The Proof with Simon Hill Nourish your gut with my Plant-Based Ferments Guide and download my Two-Week Meal Plan.

Transcript

Click on a timestamp to play from that location

0:00.0	You're developing plaque at a faster rate.
0:03.0	And at your age, that's a concern. It was kind of shocking. My dad had a heart attack, 41. I probably want to do some therapeutic measure to lower that. It's your decision. I would have put you on medicine when you came to see me at age 20. With today's drugs, two, three weeks you're gonna get there. And that's part of the reason I want to have this conversation, not just from my own interest,
0:01.3	but if I had to come across your information, Tom,
0:24.9	or yours, Dan, I would have been inspired, motivated to make lifestyle changes a little bit earlier.
0:34.3	Welcome back, friends. A few episodes ago, I shared the results of my recent CT angiogram and coronary artery calcium score.
0:42.2	Essentially a peek inside my arteries to see how things were really going under the hood.
0:47.3	That episode featured clips from my conversation with two of the sharpest minds in cardiovascular medicine today, Dr. Thomas Dayspring and Dr. Dan so far.
0:56.9	Today I am pleased to release the full uncut conversation with Tom and Dan because honestly
1:02.3	there was way too much gold in that conversation not to share it with you.
1:06.9	In this conversation, we go deeper into what my scan results actually mean, why heart disease
1:11.5	can show up even in people who are doing all the right things, and how to think about cardiovascular
1:16.4	disease risk beyond just your cholesterol panel. This is a fascinating at times sobering, but
1:22.4	ultimately empowering conversation with a few laughs along the way. And if you're wondering,
1:29.4	wait, is Simon going on a statin? Don't worry. We're getting to that with a follow-up episode focused entirely on lipid
1:35.4	lowering medications. Please enjoy and I hope it's helpful. All right, Tom, let's kick things off with
1:42.7	a question for you.
1:45.1	What was your first reaction when you saw my CT angiogram results?
1:50.2	Was I shocked or surprised?
1:51.8	No, not at my age.
1:52.9	I've seen too many people over time.
1:54.8	And, you know, those who have risk factors sooner or later are going to show some plaque.
1:59.7	And I go back to my, you know, my good
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Simon Hill, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Simon Hill and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.